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Psychiatric Times. Poll: Protective Custody for Morbidly Obese Children?
September 20, 2011
In a JAMA commentary on life-threatening childhood obesity,1 the authors suggest the "involvement of state protective services . . . including placement into foster care in carefully selected situations" as an alternative to treatment at newly established pediatric surgical weight loss programs. Do you agree? Reference by John Hendrick | September 30, 2011 11:02 AM EDT I had a part time local jail contract as their Psychiatrist for 11 years. During that time I once served for 6 months as the acting fill in for a level 3 and 4 adolescent residential under state contract. Over the next 5-6 years 100% of those adolescents were incarcerated in that local nearby jail for one thing or another. Every state's Child Protective Services are overwhelmed, underbudgeted, understaffed and politically scapegoated at almost every turn. If this idea gains momentum the law of unintended consequences will run wild. It sometimes astounds me that state governments are even worse at raising children than neglectful parents, but in my experience it is consistently true. Just try and contact them on a weekend for assistance with complex decisions. If parents were similarly unavailable for hospitalized children it would become a criminal matter, but of course, they are immune from such petty tribulations. I have seen this kind of thing in 3 different states, they're all terrible. I suspect it is similar all over the country. by Sally Ricketts | September 30, 2011 10:33 AM EDT the substantial psychiatric sequelae to children whose family syswtem is ruptured with resultant foster care placement are well-documented. The levels of abuse and neglect which occur in foster home settings is also documented. |
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